Ketner, Gerald Max
Ketner, Gerald Max is an sole proprietor health care provider with primary practice located at 1139 N Loop 340 , Waco TX 76705-2486. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ketner, Gerald Max can be contacted via phone (254) 799-8343.Contact Information
Primary practice address
1139 N Loop 340
Waco TX 76705-2486
Phone: (254) 799-8343
Fax: (254) 799-1922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4680 | Texas |
Profile Details
| NPI number | 1932109360 |
|---|---|
| LBN Legal business name | Ketner, Gerald Max |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932109360 | NPPES |
| Texas | MEDICAID | 0019846-01 |
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